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Endometriosis cannot be diagnosed with certainty by symptoms and physical examination alone. The healthcare practitioner may consider other conditions such as infections or tumors. One condition that may have similar symptoms to endometriosis is interstitial cystitis, or chronic inflammation of the bladder. Direct visualization of the endometriosis implants, typically via laparoscopic surgery, provides the definitive diagnosis. In order to diagnose endometriosis, the following steps may be taken:
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